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Efficacy of a Decision Support Intervention on Decisional Conflict Related to Hepatocellular Cancer Treatment: A Randomized Controlled Trial

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Listed:
  • Yueh-Ling Liao
  • Tsae-Jyy Wang
  • Chien-Wei Su
  • Shu-Yuan Liang
  • Chieh-Yu Liu
  • Jun-Yu Fan

Abstract

The purpose of this study was to investigate the efficacy of decision support intervention on treatment knowledge, decision self-efficacy, decisional conflict, and decision satisfaction in patients with hepatocellular cancer. The study was a randomized controlled trial. In all, 69 patients with hepatocellular carcinoma (HCC) were recruited and randomly assigned to a decision support group or a control group. Data were collected at baseline, post-test, and follow-up using self-report questionnaires. After controlling for baseline scores, the between-group difference (95% confidence interval [CI]) for treatment-related knowledge in post-test scores was 11.9 (6.1, 17.8). After controlling for baseline scores, the between-group difference (95% CI) for decisional conflict was −7.0 (−12.0, −2.0). There was no statistically significant between-group difference in decision self-efficacy and decision satisfaction. Findings supported the efficacy of decision support intervention to improve treatment knowledge and reduce decisional conflict but had no significant effect on decision self-efficacy and decision satisfaction in patients with HCC.

Suggested Citation

  • Yueh-Ling Liao & Tsae-Jyy Wang & Chien-Wei Su & Shu-Yuan Liang & Chieh-Yu Liu & Jun-Yu Fan, 2023. "Efficacy of a Decision Support Intervention on Decisional Conflict Related to Hepatocellular Cancer Treatment: A Randomized Controlled Trial," Clinical Nursing Research, , vol. 32(1), pages 233-243, January.
    • Handle: RePEc:sae:clnure:v:32:y:2023:i:1:p:233-243
    DOI: 10.1177/10547738221121447
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    References listed on IDEAS

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    3. Dawn Stacey & France Légaré & Laura Boland & Krystina B. Lewis & Marie-Chantal Loiselle & Lauren Hoefel & Mirjam Garvelink & Annette O’Connor, 2020. "20th Anniversary Ottawa Decision Support Framework: Part 3 Overview of Systematic Reviews and Updated Framework," Medical Decision Making, , vol. 40(3), pages 379-398, April.
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